| NPI | 1396062667 |
|---|---|
| Former Legal Business Name | MY GOAL OUR MISSION |
| Entity Type | Organization |
| Authorized Contact | ALLISON MARIE BRISTOW-CHISLEY CEO/President 919-523-8651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2010-04-27 |